National Insurance Mediclaim Policy is a traditional health insurance plan that provides comprehensive coverage to the policyholders. This plan was launched by the National Insurance Company to offer financial comfort to the insured at the time of a medical emergency.
The plan looks after in-patient hospitalization (minimum 24 hours) expenses and 140+ day care procedures on a reimbursement/cashless basis. It also offers coverage against expenses associated with allopathic, ayurvedic and homeopathic treatment.
To get an insight into how the National Insurance Mediclaim works and how it is beneficial for you & your family, it is important for you to have a thorough knowledge of the features and benefits of the National Insurance Mediclaim Policy. This page will discuss all the aspects of the plan, be it eligibility criteria or the exclusions.
Continue reading to explore everything about the plan & make a wise decision.
Every plan comes with a set of unique features that makes it different from the others. Likewise, the National Insurance Mediclaim policy also comes with several feturas that allows the policyholder to trust the plan. We have listed down all the key features of this plan. Read below.
The plan looks after all the expenses incurred against room rent/ICU charges, medical practitioner, anesthetist, surgeon's fees, etc. up to the specified limits.
To offer a complete package, the policy covers the expenses of 12 treatments including immunotherapies, oral chemotherapies, robotic surgery, among others.
If the insured person wishes to avail of treatment under Allopathy, Ayurveda, and Homeopathy, the plan will cover its expenses (up to 100% of Sum Insured).
If a situation arises when the insured needs to be taken to the hospital in an ambulance, its expenses will be covered (up to 1% of Sum Insured, maximum Rs.2000) under the policy.
The plan provides pre-hospitalization cover (up to 45 days) and post-hospitalization cover (up to 60 days) respectively for the same disease/illness/injury for which hospitalization occurred.
The plan allows the cashless facility at any network hospital that means you will be saved from paying the treatment expenses yourself as the company will take care of your hospital bills.
If the insured person (having SI of 6 lakhs & above) finishes off his SI on account of hospitalization claims, the company is liable to reinstate his base SI (according to its conditions).
If the insured person doesn't claim in 4 continuous policy years, the policy will pay for his health-check-up/prescribed diagnostic tests (up to 1% of average basic SI, maximum Rs.5000).
The company grants a discount on choosing co-pay options. On 20% co-payment, 15% off is given on the total premium. And on 15% co-payment, 10% off is given on total premium.
In the case of every claim-free year, the insured can earn a cumulative bonus of 5% of the basic SI of the expiring policy.
The policy covers the treatment expenses of certain illnesses like morbid obesity and correction of eyesight (refractive errors above -7.5 D) after their waiting period is over.
The plan also comes with an add-on benefit of a lifelong renewability option that assists customers for a long tenure.
The premium paid towards this health insurance policy is liable to get the helpful tax benefits under section 80D of the Income Tax Act, 1961.
National Insurance Company has fixed a certain set of conditions that customers are required to fulfill to buy this plan. The table given below enlists the eligibility conditions of this plan. Let's check.
|Age at entry||18 years||64 years|
|Sum Insured||Rs. 1 Lakh||Rs. 10 Lakhs|
|Policy Period||1 Year|
|Pre & post-hospitalisation||45 & 60 days|
The premium plays an important role while choosing health insurance. Knowing in advance how much you need to pay against your National Mediclaim Policy can help you to plan your budget in advance. To check the National Insurance Mediclaim premium, you can refer to the online premium calculator.
For your convenience, we've provided here a sample chart to illustrate different premium rates of the National Mediclaim Policy. The chart here shows a graphical representation of different premium rates for different amounts of the sum insured.
Note that the national Insurance Mediclaim premium calculated in this chart are for a 30-year old independent person, buying the policy for himself.
Sample Premium Illustration of National Mediclaim Policy
Though National Mediclaim Policy promises comprehensive coverage, there are a few conditions/situations that it doesn't cover. Let's learn about them.
To know more about them, please check the policy brochure.
National Insurance Company advises its customers to follow the below-listed process for successful claims.
You can easily purchase health insurance from the company's official website. However, please note that the company sells only a few health insurance products online.
In the section below, we've given a step-by-step process for buying health insurance from the National Insurance company's website. Read along to find out.
Once done, you will get a soft copy of the policy on your registered email ID. You can also visit the nearest National Insurance company's branch to buy health plans.
To ensure that your & your family's healthcare needs are looked after, always consider National insurance Mediclaim renewal your top priority. Not only it will guarantee that you and your loved ones are protected in the future but will also help you to prevent any sort of late fee or penalties.
Non-Medical Expenses in Health Insurance
Having a Good Health Insurance Advisor
Health insurance is a must in traveling itinerary
Health Insurance Riders and their relevance
Difference Between Insurance and Assurance
Copay in Health Insurance
Personal Accident Insurance
(Showing latest 5 reviews only)
March 14, 2022
September 1, 2021
August 18, 2021
May 10, 2021
October 26, 2020
Bipinchandra Somabhai PatelVadodara
Last updated on March, 2022
Request A Callback